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      A New Pandemic of the XXI st Century: The Growing Crisis of Adolescent Depression in the Digital Age

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          Abstract

          In a reality dominated by social media and affected by the recent COVID-19 pandemic, the mental health of people in various age groups has undoubtedly suffered, especially among young people. Statistics confirm that adolescent depression is a significant health problem and is the most common cause of disability in this age group. Research shows the multifactorial basis of this disease entity, placing particular emphasis on the genetic, environmental, and biological background. A family history of depression can increase the risk of developing depression by 4-fold. A teenager, being part of many systems, such as family, school community, and social media co-user, is exposed to many stressors. Maturing youth have a very demanding educational plan to implement, and depression causes a decline in cognitive functions, which are so important in acquiring knowledge. Among many patients, an additional risk is self-harm and suicide, which are part of the clinical picture of depressive disorders. Suicide accounts for about one-third of mortality among youth. We draw attention to the need to increase educational and psychoeducational impacts on adolescent depression, as it is a huge health problem that has an impact on all areas of a young person’s life. The trend of depression among adolescents is constantly increasing. The aim of this article is to review the global causes and consequences of the growing number of cases of depression, self-harm, and suicide among children and adolescents, as well as contemporary approaches to management.

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          Risk and Protective Factors for Prospective Changes in Adolescent Mental Health during the COVID-19 Pandemic

          The restrictions put in place to contain the COVID-19 virus have led to widespread social isolation, impacting mental health worldwide. These restrictions may be particularly difficult for adolescents, who rely heavily on their peer connections for emotional support. However, there has been no longitudinal research examining the psychological impact of the COVID-19 pandemic among adolescents. This study addresses this gap by investigating the impact of the COVID-19 pandemic on adolescents’ mental health, and moderators of change, as well as assessing the factors perceived as causing the most distress. Two hundred and forty eight adolescents (M age  = 14.4; 51% girls; 81.8% Caucasian) were surveyed over two time points; in the 12 months leading up to the COVID-19 outbreak (T1), and again two months following the implementation of government restrictions and online learning (T2). Online surveys assessed depressive symptoms, anxiety, and life satisfaction at T1 and T2, and participants’ schooling, peer and family relationships, social connection, media exposure, COVID-19 related stress, and adherence to government stay-at-home directives at T2 only. In line with predictions, adolescents experienced significant increases in depressive symptoms and anxiety, and a significant decrease in life satisfaction from T1 to T2, which was particularly pronounced among girls. Moderation analyses revealed that COVID-19 related worries, online learning difficulties, and increased conflict with parents predicted increases in mental health problems from T1 to T2, whereas adherence to stay-at-home orders and feeling socially connected during the COVID-19 lockdown protected against poor mental health. This study provides initial longitudinal evidence for the decline of adolescent’s mental health during the COVID-19 pandemic. The results suggest that adolescents are more concerned about the government restrictions designed to contain the spread of the virus, than the virus itself, and that those concerns are associated with increased anxiety and depressive symptoms, and decreased life satisfaction.
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            Adolescent psychiatric disorders during the COVID-19 pandemic and lockdown

            Highlights • The COVID-19 pandemic and lockdown may have a negative impact on the mental health of adolescents. • Epidemics and disasters are associated with adolescent Post Traumatic Stress, Depression, and Anxiety symptoms. • Home confinement may be associated with increased intrafamilial violence. • Healthcare system adaptations are necessary for mental health support despite the lockdown. • Data is scarce on adolescent psychiatric disorders during epidemics and pandemics.
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              Adolescent and adult differences in major depression symptom profiles

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                Author and article information

                Journal
                Med Sci Monit
                Med Sci Monit
                Medical Science Monitor
                Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
                International Scientific Literature, Inc.
                1234-1010
                1643-3750
                2024
                13 June 2024
                20 June 2024
                : 30
                : e944838-1-e944838-7
                Affiliations
                II Department of Psychiatry and Psychiatric Rehabilitation, Medical University of Lublin, Lublin, Poland
                Author notes
                Corresponding Author: Magdalena Cyrkler, e-mail: mcyrkler@ 123456tlen.pl
                [A]

                Study Design

                [B]

                Data Collection

                [C]

                Statistical Analysis

                [D]

                Data Interpretation

                [E]

                Manuscript Preparation

                [F]

                Literature Search

                [G]

                Funds Collection

                Author information
                https://orcid.org/0009-0003-5721-6945
                https://orcid.org/0009-0008-4211-1362
                https://orcid.org/0009-0008-5434-9351
                https://orcid.org/0000-0001-6909-2749
                Article
                944838
                10.12659/MSM.944838
                11305108
                38900715
                b8b283c6-35b6-4d1b-88f5-dfaffbb4f12f
                © Med Sci Monit, 2024

                This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International ( CC BY-NC-ND 4.0)

                History
                : 16 April 2024
                : 17 May 2024
                Categories
                Review Articles

                depression,adolescent psychiatry,adolescent health
                depression, adolescent psychiatry, adolescent health

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